FORM 1023-EZ for ARCHIPELAGO COLLECTIVE

Field Data
EIN 81-2876277
Case Number EO-2016172-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ARCHIPELAGO COLLECTIVE
Organization’s Mailing Address 7520 28TH AVE NE
City SEATTLE
State WA
ZIP 98115
Accounting period End 12
Primary contact name DANA BLISS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA MORSE
PRESIDENT
PO BOX 2573
FRIDAY HARBOR WA 98250

Officer/Director/Trustee Two

MARY BAUER
TREASURER/SECRETARY
7737 34TH AVE NW
SEATTLE WA 98117

Officer/Director/Trustee Three

SOPHIE BAIRD-DANIEL
DIRECTOR
7520 28TH AVE NE
SEATTLE WA 98115

Officer/Director/Trustee Four

DANA BLISS
DIRECTOR
7504 27TH AVE NW
SEATTLE WA 98117

Organization’s website WWW.ARCHIPELAGOCOLLECTIVE.ORG
Organization’s email ARCHIPELAGOCOLLECTIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2016
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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